Submission ID 129962

Issue/Objective Climate change is increasingly driving internal displacement and cross-border migration in West Africa, exacerbating inequities in access to health services. Despite growing recognition, evidence linking climate-induced mobility to health system strain remains fragmented.
Methodology/Approach A mixed-methods analysis was conducted using regional climate data (1990-2023), migration estimates, and health service utilization trends across Ghana, Nigeria, and Burkina Faso. Key informant interviews with policymakers and displaced populations were also analyzed thematically.
Results Climate shocks (flooding and drought) increased by over 35% across the study period, correlating with a 22% rise in internal displacement. Displaced populations experienced significantly reduced access to maternal and primary healthcare services (adjusted OR 0.63, 95% CI: 0.51-0.78). Health systems in receiving communities showed increased service burden without proportional resource allocation. Key barriers included lack of documentation, language differences, and fragmented policy coordination.
Discussion/Conclusion Climate change acts as a structural driver of health inequities through migration pathways. Strengthening cross-sectoral governance, integrating climate adaptation into health planning, and ensuring inclusive service delivery for mobile populations are critical for equitable health outcomes.
Presenters and Affiliations Oscar Lambert KNUST-IVI Collaborative Centre
Sadat Ibrahim KNUST-IVI Collaborative Centre
Obed Atsu-Ofori KNUST-IVI Collaborative Centre
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